Are you planning to study 2 sessions or more?If yes, UH system requires students to submit Vaccination record. The final approval will be made by the UHH health center. Download the health clearance form here.YesNo

Do you plan to continue your study at an US college or university? *YesNoNot sure yet

Each student enrolling in the IEP who needs an F1 visa must provide evidence of adequate financial support to cover all expenses for the period of study in the United States. *Please choose one of the following:A current bank statement on bank stationary in your name, or your family's name. Bank statements should be in English with amounts given in US dollars.A scholarship award letter in your name.A US Department of Justice Affidavit of Support Form I-134 accompanied by documentation if you are going to be supported by a US Citizen or permanent resident.Download Support Form I-134

My financial support will be provided by *Personal fundsFunds from my family abroadSponsor

Name of sponsor of family member providing support:

Affidavit of Support (To be completed by applicant's sponsor) "I guarantee without reservation the maintenance and welfare of and his/her dependents, if indicated, including the payment of all incidental expenses, required travel, and all medical expenses incurred, while the applicant is a student in the Hawaii Community College Intensive English Program. I further guarantee travel funds for the applicant's departure, when such departure becomes necessary."

Signature of SponsorBy entering your name in the box above, you are effectively providing your signature.

Address of Sponsor

Relationship to Applicant

Upload a copy of your bank statement*

I will email it to hawcciep@hawaii.edu later. (Please note that your application process is not completed until we receive your documents).

Upload a copy of your transcript/diploma*

I will email it to hawcciep@hawaii.edu later. (Please note that your application process is not completed until we receive your documents).

Upload a copy of your passport*

I will email it to hawcciep@hawaii.edu later. (Please note that your application process is not completed until we receive your documents).

If yes, how much can you afford to pay for rent each month.$500-$650$650-$800$800-$890

How did you find the Intensive English Program (IEP)?Agent (Please write the agent name in the text box below)By a friend (Please write your friend's name in the text box below)IEP websiteHawaii Community College websiteMo-hawaii.com websiteSearch engine (Google, Yahoo, Bing etc)The IEP brochureOther (Please write in the text box below)

I certify that the above information is complete and accurate to the best of my knowledge. I fully understand that anyone coming to the U.S. on a student visa is expected to study full-time. I agree to follow all of the IEP rules and policies during my term of study. *

Signature of applicant *By entering your name in the box above, you are effectively providing your signature.

Date of signature (mm/dd/yyyy)*

For fee payments, we will contact you via email. Please note that your application process is not completed until we receive your payments.

Comment/Note

Address

Intensive English Program Hawaiʻi Community College 1175 Manono St Hilo, Hawaiʻi 96720, USA